Billing code 33925: Pulmonary artery repairMedicare rate & RVUs in Guam
Reports surgical unifocalization of pulmonary blood supply without cardiopulmonary bypass, typically to establish a usable pulmonary artery pathway in complex congenital heart disease.
CMS doesn’t publish an office rate for 33925 in Guam.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 33925 covers
This operation brings separate pulmonary blood-supply channels together into a unified pathway, commonly as part of surgical treatment for complex congenital heart disease such as pulmonary atresia with major aortopulmonary collateral arteries. A congenital cardiac surgeon performs it in an operating room. The defining distinction from the related bypass code is that the unifocalization is performed without cardiopulmonary bypass; the operative report should make the technique and bypass use clear.
Report the code for the unifocalization service, not for a different pulmonary artery reconstruction or an operation that removes an obstruction. It has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
33925 in Hawaii, Guam
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam | Unavailable | $1,534.59 |
How the 33925 rate is calculated
Each of 33925’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 33925
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 30.52Practice expense 9.65Malpractice 7.69
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 33925
33925 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 33925
Pulmonary artery repair
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.84/0.07 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 33925
Pulmonary artery repair
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
33925 without 51 · national facility
$1,598.57
Pulmonary artery repair
33925-51 · Second procedure: 50%
$799.29
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
33925 compared with similar codes
Compare codes
33925 vs 33926 vs 33916 vs 33917: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 33926Pulmonary artery repair
- Use 33926 for pulmonary artery unifocalization performed with cardiopulmonary bypass. Code 33925 is the corresponding service without bypass.
- 33916Pulmonary embolectomy
- This code concerns reconstruction for pulmonary artery stenosis. Choose 33925 when the operation unifocalizes pulmonary blood-supply channels instead.
- 33917Pulmonary artery repair
- This code concerns pulmonary artery stenosis reconstruction with cardiopulmonary bypass, not unifocalization without bypass.
33925 billing questions
How is this code distinguished from 33926?
Both describe pulmonary artery unifocalization. Report 33925 when the procedure is performed without cardiopulmonary bypass; 33926 is the corresponding bypass code.
Is this the code for any pulmonary artery repair?
No. It describes unifocalization, not every reconstruction or repair of a pulmonary artery. For example, repair of pulmonary artery stenosis is represented by a different procedure code.
Can modifier 50 be used?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only with supporting documentation, and team surgery is not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care through the 90-day period.
How does the multiple-procedure reduction affect this code?
When it is performed with other procedures in the same session, the highest-valued procedure is paid in full and the other procedures are subject to the standard 50% reduction.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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